Healthcare Provider Details

I. General information

NPI: 1346958204
Provider Name (Legal Business Name): ALTERA HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 S RAINBOW BLVD STE 108
LAS VEGAS NV
89146-6596
US

IV. Provider business mailing address

13113 GIRO DR
BAKERSFIELD CA
93314-6600
US

V. Phone/Fax

Practice location:
  • Phone: 702-703-5597
  • Fax:
Mailing address:
  • Phone: 702-703-5597
  • Fax: 702-508-2435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. RUBY TAN RAMOS
Title or Position: APRN OWNER
Credential:
Phone: 661-345-9964